<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Deliver_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-deliver_id" data-rule="required" data-source="deliver/index" class="form-control selectpage" name="row[deliver_id]" type="text" value="{$row.deliver_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Cutbill_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-cutbill_id" data-rule="required" data-source="cutbill/index" class="form-control selectpage" name="row[cutbill_id]" type="text" value="{$row.cutbill_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Clothtype_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-clothtype_id" data-rule="required" data-source="clothtype/index" class="form-control selectpage" name="row[clothtype_id]" type="text" value="{$row.clothtype_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Goods_nums')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-goods_nums" class="form-control" name="row[goods_nums]" type="number" value="{$row.goods_nums|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Process_fee')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-process_fee" class="form-control" step="0.01" name="row[process_fee]" type="number" value="{$row.process_fee|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Remark')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-remark" class="form-control" name="row[remark]" type="text" value="{$row.remark|htmlentities}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>
